Faculty Opinions recommendation of Is the treatment of the small saphenous veins with foam sclerotherapy at risk of deep vein thrombosis?

2013 ◽  
Author(s):  
Milos Pavlovic
Keyword(s):  
At Risk ◽  
Deep Vein Thrombosis ◽  
Foam Sclerotherapy ◽  
Vein Thrombosis ◽  
Saphenous Veins ◽  
Deep Vein

Is the treatment of the small saphenous veins with foam sclerotherapy at risk of deep vein thrombosis?

2013 ◽  
Vol 29 (9) ◽  
pp. 600-607 ◽  
Author(s):  
JL Gillet ◽  
M Lausecker ◽  
M Sica ◽  
JM Guedes ◽  
FA Allaert
Keyword(s):  
Deep Vein Thrombosis ◽  
Saphenous Vein ◽  
Duplex Ultrasound ◽  
Popliteal Vein ◽  
Medial Gastrocnemius ◽  
Controlled Study ◽  
Foam Sclerotherapy ◽  
Vein Thrombosis ◽  
Saphenous Veins ◽  
Deep Vein

Objective To assess the deep vein thrombosis risk of the treatment of the small saphenous veins depending on the anatomical pattern of the veins. Method A multicenter, prospective and controlled study was carried out in which small saphenous vein trunks were treated with ultrasound-guided foam sclerotherapy. The anatomical pattern (saphenopopliteal junction, perforators) was assessed by Duplex ultrasound before the treatment. All patients were systematically checked by Duplex ultrasound 8 to 30 days after the procedure to identify a potential deep vein thrombosis. Results Three hundred and thirty-one small saphenous veins were treated in 22 phlebology clinics. No proximal deep vein thrombosis occurred. Two (0.6%) medial gastrocnemius veins thrombosis occurred in symptomatic patients. Five medial gastrocnemius veins thrombosis and four cases of extension of the small saphenous vein sclerosis into the popliteal vein, which all occurred when the small saphenous vein connected directly into the popliteal vein, were identified by systematic Duplex ultrasound examination in asymptomatic patients. Medial gastrocnemius veins thrombosis were more frequent ( p = 0.02) in patients with medial gastrocnemius veins perforator. A common outlet or channel between the small saphenous vein and the medial gastrocnemius veins did not increase the risk of deep vein thrombosis. Conclusion Deep vein thrombosis after foam sclerotherapy of the small saphenous vein are very rare. Only 0.6% medial gastrocnemius veins thrombosis occurred in symptomatic patients. However, the anatomical pattern of the small saphenous vein should be taken into account and patients with medial gastrocnemius veins perforators and the small saphenous vein connected directly into the popliteal vein should be checked by Duplex ultrasound one or two weeks after the procedure. Recommendations based on our everyday practice and the findings of this study are suggested to prevent and treat deep vein thrombosis.

The risk assessment profile score identifies trauma patients at risk for deep vein thrombosis

Surgery ◽  
2000 ◽  
Vol 128 (4) ◽  
pp. 631-640 ◽  
Author(s):  
Michelle M. Gearhart ◽  
Fred A. Luchette ◽  
Mary C. Proctor ◽  
Dave M. Lutomski ◽  
Christine Witsken ◽  
...  
Keyword(s):  
Risk Assessment ◽  
At Risk ◽  
Deep Vein Thrombosis ◽  
Trauma Patients ◽  
Vein Thrombosis ◽  
Profile Score ◽  
Patients At Risk ◽  
Deep Vein

scholarly journals Long haul flights and deep vein thrombosis: who is at risk?

2003 ◽  
Vol 120 (2) ◽  
pp. 367-367 ◽  
Author(s):  
F. R. Rosendaal ◽  
H. R. Büller ◽  
P. Kesteven ◽  
W. D. Toff
Keyword(s):  
At Risk ◽  
Deep Vein Thrombosis ◽  
Vein Thrombosis ◽  
Deep Vein

scholarly journals Vein Glue VenaSeal® for the Therapy in Case of Varicose Vein Thrombosis: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Zierau UT
Keyword(s):  
Deep Vein Thrombosis ◽  
Case Report ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Rare Complication ◽  
Vein Thrombosis ◽  
Saphenous Veins ◽  
Deep Vein

The thrombosis in areas of the superficial truncal varicose veins and cutaneous veins is not a rare complication; it requires drug or surgical therapy if the thrombosis grows in the direction of deep veins. This situation is particularly striking in the case of thromboses of the great saphenous vein GSV and small saphenous vein SSV as well as other saphenous veins and leads to deep vein thrombosis in around 20% of cases. We will report about a case of SSV thrombosis and the catheter-based therapy of thrombosis following the therapy of truncal varicose vein SSV with VenaSeal® in one session.

Duplex sonography phlebologically accentuated

Phlebologie ◽  
2010 ◽  
Vol 39 (03) ◽  
pp. 139-151
Author(s):  
M. Marshall
Keyword(s):  
Medical Education ◽  
Deep Vein Thrombosis ◽  
Doppler Sonography ◽  
Duplex Sonography ◽  
Disease Course ◽  
Foam Sclerotherapy ◽  
Optimal Position ◽  
Vein Thrombosis ◽  
Colour Duplex Sonography ◽  
Deep Vein

SummaryWithout any doubt colour duplex sonography was an enormous progress in angiological and/or phlebological diagnostics. Starting with the directional Doppler sonography, the large spectrum of phlebological diagnostics by colour duplex sonography is presented. Colour duplex sonography is used for a) the fundamental, morphologically and haemodynamically based diagnostics of deep vein thrombosis, of the insufficiency of subfascial and epifascial veins and for differential diagnostic delimitations (of arterial disorders, lip- and lymphedema, Baker-cysts, haematomas and so on), b) intrainterventional controls (steering of endovenous catheters and of foam sclerotherapy), c) the postinterventional assessment of results and disease course (definitively successful elimination of refluxes, relapses, complications as deep vein thrombosis and so on). Finally, the optimal position of the patient for duplex examination – supine or standing – is discussed, and methodical developments of the angiologic-phlebological diagnostics with ultrasound devices are described. Conclusion: In many cases duplexsonography avoids invasive examinations. It is part of the obligatory medical education in the field of phlebology.

Lethal Trauma Pulmonary Embolism is a Black Swan Event in Patients at Risk for Deep Vein Thrombosis: An Evidence-Based Review

2017 ◽  
Vol 83 (4) ◽  
pp. 403-413 ◽  
Author(s):  
C. Michael Dunham ◽  
Gregory S. Huang
Keyword(s):  
At Risk ◽  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Confidence Interval ◽  
Hospital Stay ◽  
Trauma Patients ◽  
Black Swan ◽  
Vein Thrombosis ◽  
Patients At Risk ◽  
Deep Vein

We delineated the incidence of trauma patient pulmonary embolism (PE) and risk conditions by performing a systematic literature review of those at risk for deep vein thrombosis (DVT). The PE proportion was 1.4 per cent (95% confidence interval = 1.2–1.6) in at-risk patients. Of 10 conditions, PE was only associated with increased age (P < 0.01) or leg injury (P < 0.01; risk ratio = 1.6). As lower extremity DVT (LEDVT) proportions increased, mortality proportions (P = 0.02) and hospital stay (P = 0.0002) increased, but PE proportions did not (P = 0.13). LEDVT was lower with chemoprophylaxis (CP) (4.9%) than without CP (19.1%; P < 0.01). PEwas lower withCP (1.0%) than without CP (2.2%; P = 0.0004). Mortality was lower with CP (6.6%) than without CP (11.6%; P = 0.002). PE was similar with (1.2%) and without (1.9%; P = 0.19) mechanical prophylaxis (MP). LEDVT was lower with MP (8.5%) than without MP (12.2%; P = 0.0005). PE proportions were similar with (1.3%) and without (1.5%; P = 0.24) LEDVTsurveillance. Mortality was higher with LEDVTsurveillance (7.9%) than without (4.8%; P < 0.01). A PE mortality of 19.7 per cent (95% confidence interval = 18–22) 3 a 1.4 per cent PE proportion yielded a 0.28 per cent lethal PE proportion. As PE proportions increased, mortality (P = 0.52) and hospital stay (P = 0.13) did not. Of 176 patients with PE, 76 per cent had no LEDVT. In trauma patients at risk for DVT, PE is infrequent, has a minimal impact on outcomes, and death is a black swan event. LEDVTsurveillance did not improve outcomes. Because PE was not associated with LEDVT and most patients with PE had no LEDVT, preventing, diagnosing, and treating LEDVT may be ineffective PE prophylaxis.

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